Late Peritoneal Relapse of Endometrial Carcinoma: a Case Report

Late relapse of endometrial carcinoma occurring more than 10 years after the initial treatment is rare. Laparoscopic resection of such a late recurrent lesion has not been reported to the best of our knowledge. We herein report a case of successful laparoscopic management of a late peritoneal relapse of endometrial carcinoma in a postmenopausal 77-year-old woman. At 67 years of age, she had undergone initial surgery with adjuvant chemotherapy. At a routine visit after treatment of her cancer, computed tomography revealed an enhanced heterogeneous solitary mass at the right paracolic gutter. The mass was laparoscopically resected sparing the resection of other organs. This case study demonstrates that for successful and definitive treatment of endometrial carcinoma, it is important to detect potentially recurring lesions through regular surveillance and as early as possible after the initial treatment. In addition, when treating late recurrent endometrial cancer, laparoscopic surgery is useful not only for exploration of the abdominal cavity but also for resection of the tumor.